| Kesha Douglas-jackson, APN | |
|
205 E Butterfield Rd # 297, Elmhurst, IL 60126-5103 | |
| (708) 795-0100 | |
| (708) 795-0101 |
| Full Name | Kesha Douglas-jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 205 E Butterfield Rd # 297, Elmhurst, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720598071 | NPI | - | NPPES |
| 041410556 | Other | IL | REGISTERED NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209016670 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Rehab Consultants Llc | 7810184892 | 135 |
| Entity Name | Integrated Rehab Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20101203000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Kesha Douglas-jackson, APN Po Box 745, Elmhurst, IL 60126-0745 Ph: (708) 795-0100 | Kesha Douglas-jackson, APN 205 E Butterfield Rd # 297, Elmhurst, IL 60126-5103 Ph: (708) 795-0100 |
Heather Ann San Juan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 613 S Poplar Ave, Elmhurst, IL 60126 Phone: 630-217-9620 | |
Kelly Rae Morris, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9003 | |
Lina G Patel, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 N York Rd, Elmhurst, IL 60126 Phone: 630-782-4050 Fax: 630-782-5021 | |
Judith G Benka, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9002 Fax: 331-221-2747 | |
Erin C Daley, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Izolda Rosario, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 W Lake St Ste 207, Elmhurst, IL 60126 Phone: 312-513-9863 | |
Tammy J Kirk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 E Brush Hill Rd Ste 202, Elmhurst, IL 60126 Phone: 331-231-6200 Fax: 332-231-6201 |